Association Between High Levels of Comorbid Anxiety and Depressive Symptoms and Decreased Likelihood of Birth Without Intervention: A Longitudinal Prospective Cohort Study

( BJOG . 2023;130(5):495–505) Many factors contribute to postpartum mental health difficulties. Positive experiences during childbirth are associated with better postpartum mental health outcomes. It is unknown, however, how comorbid symptoms of anxiety and depression affect birth experiences or how poor mental health before delivery affects birth experiences. The aim of this study was to assess whether symptom trajectories of comorbid anxiety and depression were negatively associated with unassisted vaginal delivery.